Pharmaceutical Services for Douglas County Health Center

2026-11-03

PROJECT DESCRIPTION AND SCOPE OF WORK A . Project Overview Douglas County Health Center ( HC ) is located in central Omaha and is a 254 - bed nursing home dually certified for Medicare and Medicaid . Service lines include long term medical care , short term rehabilitation , hospice , dementia care , and behavioral care . These services are provided within 10 neighborhoods on 6 floors . Currently , the HC provides services within an in - house pharmacy that employs a pharmacist in charge , pharmacists , pharmacy techs and a pharmacy biller . HC maintains an annual occupancy rate of approximately 91 %, with the following payer breakdown : 78 % Medicaid ; 3 % Medicare A , 1 % managed care , 9 % private pay , 8 % VA , and 1 % other . The Health Center also provides 2 - week bubble packs to the Douglas County Youth Center . The Youth Center maintains an average census of approximately 80 youth . Approximately 50 % of the youth are Medicaid , and 50 % would be billed directly back to the Youth Center and may require preauthorization from the Youth Center staff . Most medications are psychotropic and stimulants . Floor stock of bulk items are also provided . The Health Center also provides occasional special - order items for the Douglas County Health Department clinics . There would need to be a process in place to procure these items . This could be antibiotics or vaccines . HC desires to partner with a vendor that can do the following : ● Provide accurate and timely delivery of medications on weekdays , weekends and as needed after hours ● Be available for after - hours call ● Partner to agree on a manageable and cost acceptable formulary for non - VA residents ● Partner to provide the VA formulary for VA residents ● Bill non - per diem payers outside of the HC system ● Coordinate receipt of specialty medications Provide IV medications ● Bubble pack all medications , including medications which come from home or VA ● Provide specialty medication enrollment ● Provide secure , reportable emergency boxes , including appropriate narcotics ● Provide at least 16 secure , reportable medication carts , with laptops and narcotics boxes ● Provide and administer Resident vaccinations , bill third - parties appropriately , and document in EHR and NESIIS ● Provide and administer employee vaccinations , bill third - parties appropriately , and provide reporting and documentation in NESIIS ● Be the program lead for the HC antibiotic stewardship program ● Attend monthly QAPI meetings and present as requested ● Obtain medication prior authorizations ● Utilize E - prescribing and integrate with Point Click Care electronic medical record ● Perform CMS required monthly chart reviews ● Perform therapeutic drug monitoring ( i . e . INR ) ● Provide an efficient , effective and timely communication process for providers ● Provide an efficient , effective and timely communication process for nursing ● Partner for continued process improvement ● Provide training for all shifts on equipment and processes ● Ability to provide medications for the Douglas County Youth Center ● Ability to provide medications for the Douglas County Health Department

Nebraska

2026-04-29